HSS, Lenox Hill Hospital, and NYP Weill Cornell Medical Center had the Lowest Cost of Care for Spine Surgeries in New York City, NY in 2020


In Spine

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Dexur’s analysis of medicare claims of hospitals within a 10-mile radius of New York City, NY, showed that Hospital for Special Surgery, Lenox Hill Hospital, and NewYork-Presbyterian/Weill Cornell Medical Center were the most cost-efficient hospitals over a 90 day episode for Spine Surgeries. Dexur’s value analysis tracks a patient’s episode of care from the date of admission for 90 days and includes the index hospitalizations, rehospitalization, home health, nursing home, and ED costs. Total cost of care data helps patients make appropriate choices and helps local ACOs, such as NewYork Quality Care, FamilyHealth ACO, LLC, Alliance for Integrated Care of New York, LLC, and HHC ACO, make appropriate referral choices. The analysis was risk-adjusted, for alive and non-hospice patients and was done at the DRG level, specifically DRG 460: Spinal Fusion Except Cervical without Major Complication or Comorbidity, to adjust for complications and comorbidities.

The study included hospitals within a 10 mile radius of New York City and with more than 50 medicare hospitalizations in a 3 year period (July 2017 to Jun 2020). A total of 8 hospitals made these criteria.

HSS_Lenox_Hill_Hospital_and_NYP_Weill_Cornell_Medical_Center

Hospital for Special Surgery

Hospital for Special Surgery’s total cost of care over a 90-day episode was $35,656 (for the period of Jul 2017 to Jun 2020). The Index hospitalization cost was $29,321 and the average rehospitalization cost was $3,457. The unplanned readmission rate (i.e. readmissions via the ED) was 4.59% and the cost per rehospitalization was at an average of $25,563.

The home health agency discharge rate was 42.86% and the average home health cost per hospitalization when a home health agency is involved is $2,948. The average cost per hospitalization for the top home health agency partners for Spine Surgeries for Hospital for Special Surgery are:

  1. $5,799 for Visiting Nurse Service of New York New York, NY, 10001

The nursing home discharge rate was 8.95% and the average nursing home cost per hospitalization when a nursing home is involved is $12,620.

Lenox Hill Hospital

Lenox Hill Hospital’s total cost of care over a 90-day episode was $44,650 (for the period of Jul 2017 to Jun 2020). The Index hospitalization cost was $34,347 and the average rehospitalization cost was $3,990. The unplanned readmission rate (i.e. readmissions via the ED) was 10.58% and the cost per rehospitalization was at an average of $23,564.

The home health agency discharge rate was 23.28% and the average home health cost per hospitalization when a home health agency is involved is $3,188. The average cost per hospitalization for the top home health agency partners for Spine Surgeries for Lenox Hill Hospital are:

  1. $11,796 for North Shore Home Care Westbury, NY, 11590

The nursing home discharge rate was 25.93% and the average nursing home cost per hospitalization when a nursing home is involved is $18,347. The average cost per hospitalization for the top nursing home partners for Spine Surgeries for Lenox Hill Hospital are:

  1. $23,994 for Upper East Side Rehabilitation and Nursing Center New York, NY, 10021

NewYork-Presbyterian/Weill Cornell Medical Center

NYP Weill Cornell Medical Center’s total cost of care over a 90-day episode was $48,480 (for the period of Jul 2017 to Jun 2020). The Index hospitalization cost was $38,350 and the average rehospitalization cost was $5,487. The unplanned readmission rate (i.e. readmissions via the ED) was 10.33% and the cost per rehospitalization was at an average of $29,532.

The home health agency discharge rate was 25.54% and the average home health cost per hospitalization when a home health agency is involved is $6,188.

The nursing home discharge rate was 14.13% and the average nursing home cost per hospitalization when a nursing home is involved is $17,974.

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The detailed value outcomes and cost of care reports for Spine Surgeries (Jul 2017 to Jun 2020) in New York, NY, includes the following data points: